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Barriers to mental health service utilisation in Sudan - perspectives of carers and psychiatrists

机译：苏丹精神卫生服务利用的障碍-护理人员和精神科医生的观点

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In order to scale up mental health care nationally, barriers to health services utilisation need to be identified and addressed. Aim: The aim of this study was to identify barriers to mental health services utilization in Sudan from the perspectives of carer’s of mentally ill patients and psychiatrists and to make recommendations to address the identified barriers. Mixed research methods were used in this cross sectional survey. The quantitative part was conducted with carers of mentally ill patients who were staying in Tijani Elmahi psychiatric hospital in Sudan, and the qualitative part was conducted with the psychiatric consultants in the country. 103 carers and six psychiatric consultants participated in the study. According to carers, the main barriers to utilisation of mental health services includes: the beliefs around mental illness, resorting to alternative treatments such as religious and traditional healers, centralization of mental health services, inadequate number of mental health staff, and mental health not being a priority by policy makers. In addition to these barriers, the psychiatric consultants identified stigma, cost of medications, and worries about medication’s side effects as barriers to the utilisation of mental health services. The carers and psychiatrists proposed several solutions to address the barriers to health services utilisation. Carers and psychiatrists are aware of the barriers to mental health services utilisation in Sudan. Addressing these barriers require a health policy and political response.
机译：为了在全国范围内扩大精神卫生保健，需要确定和解决利用卫生服务的障碍。目的：这项研究的目的是从照顾精神病患者和精神病医生的角度确定苏丹利用精神卫生服务的障碍，并提出解决这些障碍的建议。在此横断面调查中使用了混合研究方法。定量部分是由留在苏丹Tijani Elmahi精神病医院的精神病患者的护理人员进行的，而定性部分是由该国的精神病顾问进行的。 103名护理人员和六名精神科顾问参加了研究。照护者称，使用精神卫生服务的主要障碍包括：围绕精神疾病的信念，诉诸宗教和传统治疗师等替代疗法，精神卫生服务的集中化，精神卫生人员不足以及精神卫生状况不佳决策者的优先事项。除了这些障碍之外，精神病学顾问还确定了污名，药物成本以及对药物副作用的担忧，这是利用心理健康服务的障碍。护理人员和精神科医生提出了几种解决方案，以解决利用卫生服务的障碍。护理人员和精神科医生意识到苏丹利用精神卫生服务的障碍。解决这些障碍需要卫生政策和政治响应。

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